A cell-based screen for resistance of Bcr-Abl-positive leukemia identifies the mutation pattern for PD166326, an alternative Abl kinase inhibitor Journal Article


Authors: Von Bubnoff, N.; Veach, D. R.; Van Der Kuip, H.; Aulitzky, W. E.; Sanger, J.; Seipel, P.; Bornmann, W. G.; Peschel, C.; Clarkson, B.; Duyster, J.
Article Title: A cell-based screen for resistance of Bcr-Abl-positive leukemia identifies the mutation pattern for PD166326, an alternative Abl kinase inhibitor
Abstract: In Philadelphia-positive (Ph+) leukemia, point mutations within the Bcr-Abl kinase domain emerged as a major mechanism of resistance to imatinib mesylate. We established a cell-based screening strategy for detection of clinically relevant point mutations using Bcr-Abl-transformed Ba/F3 cells. We identified 32 different single-point mutations within the kinase domain of Bcr-Abl. The pattern and frequency of mutations in this cell culture-based screen resembled the pattern and frequency observed in resistant patients. We then applied this screen to an alternative Abl kinase inhibitor. Using PD166326, the frequency of resistant colonies emerging at 5 to 10 times the median growth inhibition (ICSO) of PD166326 was significantly lower than with imatinib. In addition, PD166326 produced a distinct pattern of Bcr-Abl mutations. The majority of mutations that came up with both imatinib and PD166326 could effectively be suppressed by increasing the dose of PD166326 to 50 to 500 nM. In contrast, only a few mutations could be suppressed by increasing the imatinib dose to 5 to 10 μM. However, 3 mutations affecting F317 displayed complete resistance to PD166326, but could be effectively inhibited by standard concentrations of imatinib. Thus, this robust and simple screening system provides a rational basis for combinatorial and sequential treatment strategies in targeted cancer therapy. © 2005 by The American Society of Hematology.
Keywords: controlled study; leukemia; unclassified drug; gene mutation; nonhuman; pyridines; drug targeting; protein domain; animal cell; mouse; animals; mice; cells, cultured; imatinib; protein kinase inhibitor; cell line; cancer cell culture; drug resistance, neoplasm; transfection; 6 (2,6 dichlorophenyl) 2 [3 (hydroxymethyl)anilino] 8 methylpyrido[2,3 d]pyrimidin 7(8h) one; abelson kinase; pyrimidines; cancer resistance; protein kinase inhibitors; drug mechanism; screening; cell culture techniques; cell line, transformed; protein structure, tertiary; protein-tyrosine kinases; bcr abl protein; piperazines; point mutation; ic 50; fusion proteins, bcr-abl; concentration response; genes, abl; philadelphia chromosome positive cell; leukemia, myeloid, philadelphia-positive; pyrido[2,3 d]pyrimidine derivative; abelson kinase inhibitor
Journal Title: Blood
Volume: 105
Issue: 4
ISSN: 0006-4971
Publisher: American Society of Hematology  
Date Published: 2005-02-15
Start Page: 1652
End Page: 1659
Language: English
DOI: 10.1182/blood-2004-06-2445
PUBMED: 15459011
PROVIDER: scopus
DOI/URL:
Notes: --- - "Cited By (since 1996): 53" - "Export Date: 24 October 2012" - "CODEN: BLOOA" - "Source: Scopus"
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
  1. Darren Veach
    98 Veach
  2. Bayard Clarkson
    220 Clarkson